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NPI Code Detail

MEDICARE: DR. DANIEL JOHN REHRAUER PHARMD

MEDICARE: DR. DANIEL JOHN REHRAUER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist117117-4MN

General Provider Information

NPI Number : 1871587626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JOHN REHRAUER PHARMD
Provider Business Mailing Address
First Line : 12257 LARCH CIR NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55448-2107
Country : US
Telephone Number : 763-767-5099
Fax Number :
Provider Business Practice Location Address
First Line : 153 CESAR CHAVEZ ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55107-2226
Country : US
Telephone Number : 651-602-7589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/08/2007

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